OP-TECH ENVIRONMENTAL SERVICES, INC.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-03-31
Business code	562000
Sponsor’s telephone number	3159256390
Plan sponsor’s address	6392 DEERE ROAD, SYRACUSE, NY, 13206

Signature of

Role	Plan administrator
Date	2016-09-02
Name of individual signing	BONNIE ALLOY
Role	Employer/plan sponsor
Date	2016-09-02
Name of individual signing	BONNIE ALLOY

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-03-01
Business code	562000
Sponsor’s telephone number	3154372065
Plan sponsor’s address	1 ADLER DRIVE, EAST SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2014-02-18
Name of individual signing	CHARLES B MORGAN
Role	Employer/plan sponsor
Date	2014-02-18
Name of individual signing	CHARLES B MORGAN

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-03-01
Business code	562000
Sponsor’s telephone number	3154372065
Plan sponsor’s address	1 ADLER DRIVE, EAST SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2013-04-03
Name of individual signing	CHARLES MORGAN
Role	Employer/plan sponsor
Date	2013-04-03
Name of individual signing	CHARLES MORGAN

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-03-01
Business code	562000
Sponsor’s telephone number	3154372065
Plan sponsor’s address	1 ADLER DRIVE, EAST SYRACUSE, NY, 13057

Plan administrator’s name and address

Administrator’s EIN	911528142
Plan administrator’s name	OP-TECH ENVIRONMENTAL SERVICES, INC.
Plan administrator’s address	1 ADLER DRIVE, EAST SYRACUSE, NY, 13057
Administrator’s telephone number	3154372065

Signature of

Role	Plan administrator
Date	2012-03-19
Name of individual signing	CHARLES MORGAN
Role	Employer/plan sponsor
Date	2012-03-19
Name of individual signing	CHARLES MORGAN

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-03-01
Business code	562000
Sponsor’s telephone number	3154372065
Plan sponsor’s address	1 ADLER DRIVE, EAST SYRACUSE, NY, 13057

Plan administrator’s name and address

Administrator’s EIN	911528142
Plan administrator’s name	OP-TECH ENVIRONMENTAL SERVICES, INC.
Plan administrator’s address	1 ADLER DRIVE, EAST SYRACUSE, NY, 13057
Administrator’s telephone number	3154372065

Signature of

Role	Plan administrator
Date	2011-05-04
Name of individual signing	CHARLES MORGAN
Role	Employer/plan sponsor
Date	2011-05-04
Name of individual signing	CHARLES MORGAN

Inspection Type	Prog Related
Scope	Partial
Safety/Health	Health
Close Conference	2012-05-03
Emphasis	N: PMETALS
Case Closed	2012-05-03

Related Activity

Type	Inspection
Activity Nr	331542
Health	Yes

Inspection Type	Unprog Rel
Scope	Partial
Safety/Health	Health
Close Conference	2008-02-04
Case Closed	2008-02-04

Related Activity

Type	Referral
Activity Nr	201336930
Health	Yes

Inspection Type	Unprog Rel
Scope	Partial
Safety/Health	Health
Close Conference	2003-06-16
Case Closed	2003-06-16

Related Activity

Type	Complaint
Activity Nr	203729686
Health	Yes

Inspection Type	Prog Related
Scope	Complete
Safety/Health	Safety
Close Conference	1999-01-25
Emphasis	S: CONSTRUCTION
Case Closed	1999-04-08

Violation Items

Citation ID	01001
Citaton Type	Other
Standard Cited	19260153 O
Issuance Date	1999-03-09
Abatement Due Date	1999-03-12
Nr Instances	2
Nr Exposed	2
Gravity	01

Inspection Type	Complaint
Scope	Partial
Safety/Health	Safety
Close Conference	1998-11-02
Case Closed	1999-02-08

Related Activity

Type	Complaint
Activity Nr	200872653
Safety	Yes